Individual provider Active NPI

Juan Jose Lopez Fontanet, MD

  • Family Medicine Physician
  • Caguas, PR
National Provider Identifier
1700364478
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022225 Issued in PR
Practice address
Pavia Caguas Surgical Center Suite 403
100 Luis Munoz Marin
Caguas, PR 00726-6184
Phone
(787) 203-2604
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022225 PR Primary

Addresses

Primary practice location

Pavia Caguas Surgical Center Suite 403
100 Luis Munoz Marin
Caguas, PR 00726-6184

Mailing address

Pavia Caguas Surgical Center Suite 403
100 Luis Munoz Marin
Caguas, PR 00726-6184
Phone (787) 203-2604

Other practice location 1

Estancias de Gran Vista
#50, Calle San Jose
Gurabo, PR 00778
Phone (787) 203-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602001865 PR Practitioner - General Practice 4183023781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022225PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MSL Therapeutical Services, PSC CurrentSince May 1, 2021 Accepting new patients
Next Medical LLC Family Medicine Current Accepting new patients
Metro Caguas Incorporated Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1700364478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PAVIA CAGUAS SURGICAL CENTER SUITE 403",
            "address_2": "100 LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266184",
            "telephone_number": "787-203-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PAVIA CAGUAS SURGICAL CENTER SUITE 403",
            "address_2": "100 LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266184",
            "telephone_number": "787-203-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Estancias de Gran Vista",
            "address_2": "#50, Calle San Jose",
            "address_purpose": "LOCATION",
            "city": "Gurabo",
            "state": "PR",
            "postal_code": "00778",
            "country_code": "US",
            "telephone_number": "787-203-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ FONTANET",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "022225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.